00:04
Let's talk about the skill
Collecting A Urine Specimen
from an Indwelling Catheter.
00:10
So, just know this slide I know
looks really overwhelming,
but just be really familiar
with your facility protocols.
00:16
Now, due to the really high
quality rates, we've talked about
specific units may utilize
a particular protocol or criteria
on how we're going to collect
that urinary specimen
from an indwelling catheter.
00:30
So oftentimes,
it's going to be driven by protocols
that look like this.
00:35
So now, let's take a look
at our equipment
on how were you get
that urinary specimen.
00:39
We need an alcohol swab
to clean that port.
00:43
We need a syringe
to pull back our collection
in a sterile specimen container.
00:49
Now,
really important,
make sure you get a
biohazard bag to put this in.
00:54
Once you collect a specimen,
there could get some things
on the outside of that
you want to make sure this
is sealed, and contained,
and labeled appropriately.
01:04
Also, next, make sure the patient
has a client identification
label on the specimen.
01:10
If we don't label it,
we don't know if it's his, hers,
952 room, 962s room,
we're not sure
and that's really important
in regards
to patient results and treatment.
01:22
So make sure, you put a
patient label on your specimen.
01:32
Hey guys!
Welcome to this skill
urine specimen collection
from an indwelling catheter.
01:39
So, just know, due to CAUTI rates,
or Catheter-Associated UTIs,
specific units may use criteria
to gather a urine specimen
from a catheter
that's already in dwelling.
01:52
So this is going to matter
with certain
patient populations in cases,
just be aware of their
specific facility protocols
that you need to follow.
02:03
So let's now take a look
at what we're going to need.
02:06
We're going to need an alcohol swab
to clean that port,
we're going to need a syringe
so we can pull back the urine,
and also the
designated specimen container
that your facility uses.
02:17
Also, it's a great idea to grab
a laboratory biohazard bag.
02:21
You want to make sure
you put and secure
this specimen in here.
02:25
And of course, it's really important
to label your specimen.
02:29
That's a big deal.
02:31
It's really important
to get the right results
with the right patient.
02:41
So, before we get started,
don't forget about your
hand hygiene,
and of course provide privacy
to your patient.
02:47
Now, this is something
we want to explain the procedure
to the patient,
and why we're collecting it
is a great idea.
02:54
Now, of course,
once we get started,
you can use
your bedside table
and make sure
you're going to place this
on a clean surface.
03:03
And upon collection,
you want to raise the bed
for an appropriate working height
so you have
good body mechanics.
03:10
Now,
since we've touched that bed,
perform hand hygiene again,
and don your gloves.
03:15
Now's a good time to go ahead
and open up that specimen container
and place the lid on the table.
03:22
Now, just note everything inside of
that specimen container is sterile.
03:27
So be conscious
not to touch inside here.
03:35
So now, let's talk about
what we need to do to get started.
03:38
We want to perform our hand hygiene
and provide privacy to our patient.
03:44
It's always important
to make sure
you explain the procedure
to the patient
and get your equipment ready.
03:49
And as you can see here,
I've already got it
on a clean surface.
03:53
So, make sure as well,
before you start,
I want to raise my patient's bed
to an appropriate working height.
03:59
And now,
that I've touched the bed,
I want to perform
my hand hygiene again
and put on gloves.
04:13
So now, that I've done that,
I also have my sterile
specimen container here.
04:18
We want to make sure
that I go ahead and open this up.
04:21
Just know that anything inside
this container is sterile.
04:26
So you don't want to touch
the inside surface.
04:33
So now, I've got this open,
and I'm going to put this here.
04:41
Now, if there are some extra urine
in the drainage tubing, for example,
we want to drain
any of this staining urine
from the drainage tube,
down into the collection bag.
04:52
Now, once we've done this,
we can take those alcohol pads
and disinfect that port
using an alcohol swab again,
and to allow it to flow dry.
05:02
Now, we can connect our
10 mL syringe to the port.
05:05
And then we can
pull back on the plunger,
and when we see
fresh air in here,
we can aspirate the urine
using that syringe.
05:14
Now, remove the syringe
from the sampling port
and you're going to slowly transfer
the urine in the syringe
into the specimen container.
05:23
Now, once we've completed this,
you can dispose of the syringe
and secure the top
of the specimen container
while maintaining sterility.
05:35
Okay, so once I've done this,
once I get started,
there may be some extra urine
in the tubing itself.
05:43
I want to make sure I drain
any standing urine from the tube
into the collection bag.
05:48
And really,
you're just going to use gravity.
05:50
So, it had this in drop this below.
So that way I can empty this tubing.
05:59
Now, once I've done that,
I'm going to take my alcohol swab
and disinfect
the sampling port here.
06:06
So the sampling port
just as a reminder,
this is our balloon port,
this is not what we're using,
in this case.
06:13
We are using the sampling port here
and I'm going to clean it
with my alcohol swab,
and make sure it fully dries.
06:24
Now, once I've cleaned this,
and allowed this to fully dry,
I'm going to connect my syringe
to the sampling port.
06:32
So of course, as you see
that was a sterile syringe
that I'm attaching.
06:36
So, I'm going to take
my sample port,
this is going to push
just nicely in here.
06:41
This is called
a needleless sampling port.
06:45
Sometimes, you may have
to have a needle to access this
just know this may vary
depending on your equipment.
06:51
But right now,
I've connected my syringe
and I'm also going to make sure
once fresh urine appears,
I'm going to aspirate
and pull back on the plunger.
07:00
So, it's important to note,
if it's attached to the bedsheet
go ahead and take this off.
07:06
And I want to make sure
I clamp thoroughly here.
07:11
So, I'm going to clamp
and then I'm going to aspirate
urine here for my specimen.
07:20
Now,
once I've done this,
I can remove the syringe
from the sampling port,
and then I'm going to transfer
this into the specimen container.
07:41
And you may need
a certain amount,
so you would just
repeat the process.
07:45
So, once I'm done, let me go ahead
and dispose of this syringe.
07:51
Then I'm going to take my container,
make sure I secure the lid.
08:04
So, upon completing the procedure,
we can label the specimen container
at the client's bedside.
08:09
This is a great idea
to do it at the bedside.
08:12
That way we can double check
those patient identifiers.
08:16
We want to then ensure
that the specimen container
gets into the laboratory
biohazard bag.
08:22
Now, we can discard
our use supplies,
put the patient back in the
lowest position for safety.
08:29
Remove our gloves.
Perform your hand hygiene.
08:31
And of course, don't forget
to document your procedure.
08:35
Now, when we're
talking about specimens,
make sure you have
the urine specimen
and it's transferred
to the lab immediately,
or stored at the facility protocol.
08:49
Then I'm going to take my label.
08:50
In every facility is
a little bit different
on what the label looks like.
08:54
But you notice on this image here,
there's some commonalities.
08:57
You definitely need the date,
especially the patient's name,
and all of the different components
that's on your label.
09:04
So make sure that you label the
specimen container at the bedside,
and it may look
a little something like this.
09:10
Then once I've done that,
here's the big kicker.
09:13
Don't forget to place it
into a biohazard bag,
and it may look like
something like this.
09:20
As you can imagine
with transport,
there may be urine
on the outside of the sample,
something like that.
09:26
We want to make sure
that this stays secure.
09:28
So I'm going to put this
in my biohazard bag.
09:31
We want to discard
all of our use supplies.
09:34
Make sure as well,
before you leave the patient
that you're going
to make sure
that patients bed
is in the lowest position.
09:42
Now, once we've done that,
I can remove my gloves,
perform my hand hygiene,
and document the procedure.
09:48
Now, it's important to ensure
that that urine sample
is transferred
to the lab immediately
and stored according
to the facility protocols.